How to use Inhalers Dr Nooreldin Elkosh PHCC

How to use Inhalers ? Dr. Nooreldin Elkosh PHCC

Disclosure of Conflict of Interest I Dr. Nooreldin Elkosh DO NOT have a financial interest/arrangement or affiliation with anyone in relation to this program/presentation/organization that could be perceived as a real or apparent conflict of interest in the context of the subject of this presentation.

Objectives • Types of inhalers Ø MDI (with spacer , without spacer ) Ø DPI ( Turbohalar , Diskus ) • Peak Flow Meter

Inhalers Ø Inhalers are hand-held portable devices that deliver medication directly to the lungs. q. Types Ø MDI ( Metered Dose Inhalers ) Ø DPI (Dry Powder Inhalers )

Meter Dose Inhalers • MDI

MDI without spacer

MDI without spacer Shake the inhaler well before use (three or four shakes) Remove the cap Breathe out, away from your inhaler Bring the inhaler to your mouth. Place it in your mouth between your teeth and close your mouth around it. Start to breathe in slowly. Press the top of your inhaler once and keep breathing in slowly until you've taken a full breath Remove the inhaler from your mouth, and hold your breath for about ten seconds, then breathe out If you need a second puff, wait 30 seconds, shake your inhaler again, and repeat steps 3 -6. Always write down the number of puffs you've taken so that you can anticipate when you need to refill your prescription. Store all MDI’s at room temperature.

MDI with spacer

MDI with spacer

MDI with spacer Shake the inhaler well before use (three or four shakes) Remove the cap from your inhaler, and from your spacer, if it has one Put the inhaler into the spacer Breathe out, away from the spacer Bring the spacer to your mouth, put the mouthpiece between your teeth and close your lips around it Press the top of your inhaler once Breathe in slowly until you've taken a full breath. If you hear a whistle sound, you are breathing in too fast. Slowly breathe in. Hold your breath for about ten seconds, then breathe out

DPI - Turbohaler

Using Turbuhaler � Unscrew the cap and take it off. Hold the inhaler upright � Twist the coloured grip of your Turbuhaler as far as it will go, then twist it all the way back. You've done it right when you hear a "click" � Breathe out away from the device � Put the mouthpiece between your teeth, and close your lips around it. Breathe in forcefully and deeply through your mouth � Remove the Turbuhaler from your mouth before breathing out � Always check the number in the dose counter window under the mouthpiece to see how many doses are left. For the Turbuhalers® that do not have a dose counter window, check the window for a red mark, which means your medication is running out. When finished, replace the cap � Do not use a spacer with the DISKUS®, Turbuhaler® or any other dry powder inhaler

� Open your DISKUS® hold it in the palm of your hand, put the thumb of your other hand on the thumb grip and push the thumb grip until it clicks into place � Slide the lever away from you as far as it will go to get your medication ready � Breathe out away from the device � Place the mouthpiece gently in your mouth and close your lips around it � Breathe in deeply until you've taken a full breath � Remove the DISKUS® from your mouth � Hold your breath for about ten seconds, then breathe out slowly � Always check the number in the dose counter window to see how many doses are left. � Do not use a spacer with the DISKUS®, Turbuhaler® or any other dry powder inhaler

Peak Expiratory Flow Meter

Peak Expiratory Flow Meter • Used to measure the Peak Expiratory Flow Rate (PEFR). • Peak flow meter is a small device that measures the fastest rate of air that you can blow out of your lungs, it can detect airway narrowing, commonly used in asthma.

Peak Expiratory Flow Meter q To perform this test: Loosen any tight clothing that might restrict your breathing. Sit up straight or stand while performing the tests Breathe in as deeply as possible. Mouthpiece is placed in mouth with lip sealed to prevent escape of air Blow into the instrument's mouthpiece as hard and fast as possible. Do this three times, and record the highest flow rate.